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HEMIC

HIMI

Report An Injury

In order to ensure your client’s claim is handled efficiently, HEMIC requires all injuries to be reported within 24 hours post accident.

The recommended way to file a claim is for your client to login to their WebSolutions account. Click the “Report Injury/WC-1″ button. This is the fastest and most secure way to transmit a claim and will be immediately received by our team.

FAX: Fax a copy of the original WC-1 Employer’s Report of Industrial Injury to 808-522-5855 for timely assignment, then mail the original signed and dated report to our office for processing.

MAIL: Print the WC-1 form and mail it to P.O. Box 3376, Honolulu, HI 96801

PLEASE REPORT ALL INJURIES WITHIN 24 HOURS

Island of Oahu:

Phone: (808) 524-3642

Fax: (808) 522-5855

Neighbor Islands:

Toll Free: (888) 292-3642

Toll Free Fax: (888) 686-5510

Mailing Address:

HEMIC

P.O. BOX 3376

Honolulu, HI 96801

Street Address:

HEMIC

1100 Alakea Street, Suite 1400

Honolulu, HI 96813

Need a WC-1?

Fill out this WC-1 Form and print it out. (With earlier versions of Acrobat you may have to print out first, then complete the form.) Fax or mail it to HEMIC. If you need help with the form, download these WC-1 Instructions for filling out and filing a WC-1.